Virtual Reality and Cervical Mobilization

Comparison of the Effects of Virtual Reality and Cervical Mobilization in Individuals With Chronic Neck Pain

The aim of this study is to compare the effects of virtual reality and cervical mobilization on proprioception, balance parameters, pain, disability level, quality of life and overall felt effect in individuals with chronic neck pain. In addition, it is aimed to qualitatively evaluate the virtual reality perspectives of individuals with chronic neck pain.

Study Overview

• Status: Completed
• Conditions: Neck Pain; Virtual Reality
• Intervention / Treatment: Other: virtual reality; Other: exercise; Other: cervical mobilization

• Study Type: Interventional
• Enrollment (Actual): 52
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Hacettepe University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Neck pain persisting for at least 3 months
• Being between the ages of 18-65,
• Being sedentary (not included in any physical therapy program in the last 6 months), ->10 points from the Neck Disability Index

Exclusion Criteria:

• History of previous spinal surgery
• Neurological, cardiopulmonary, musculoskeletal disease affecting physical performance
• Any pathology in the shoulder joint
• Spinal trauma history
• Pregnancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: virtual reality+Exercise; An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. The virtual reality group will performe virtual reality for an additional 20 minutes. (Oculus GO)	Other: virtual reality; The individuals participating in the study will experience virtual reality.; Other: exercise; The individuals participating in the study will performed neck-specific exercises.
Experimental: cervical mobilization+Exercise; An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. Mobilization techniques that will mobilize the cervical region will be applied to the cervical mobilization group for 20 minutes.	Other: exercise; The individuals participating in the study will performed neck-specific exercises.; Other: cervical mobilization; The individuals participating in the study will be applied cervical mobilization techniques.
Other: Control; Control group will only perform an exercise program.	Other: exercise; The individuals participating in the study will performed neck-specific exercises.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Joint position sense error	Proprioception in all cervical directions will assessed by Cervical Range of Motion device.	Change from Baseline balance after 4 weeks/10 sessions.
Baropodometer assessments- Center of gravity	Center of gravity will assess with FreeMed baropodometric platform and will record as mm.	Change from Baseline proprioception after 4 weeks/10 sessions.
Functional Balance	10 meter walking speed and four square step-test will be combined to report dynamic balance.	Change from Baseline proprioception after 4 weeks/10 sessions.
Baropodometer assessments-Pressure distribution	Pressure distribution will assess with FreeMed baropodometric platform and will record as percentage.	Change from Baseline proprioception after 4 weeks/10 sessions.
Baropodometer assessments- Oscillations	Oscillations will assess with FreeMed baropodometric platform.	Change from Baseline proprioception after 4 weeks/10 sessions.
Baropodometer assessments- Sway velocity	Sway velocity will assess with FreeMed baropodometric platform and will record as degrees.	Change from Baseline proprioception after 4 weeks/10 sessions.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cervical Pain	Visual Analog Scale will be used to assess this outcome measure.	Change from Baseline cervical pain after 4 weeks/ 10 sessions.
Functional disability	Neck Disability Index will be used to assess this outcome measure.	Change from Baseline functional disability after 4 weeks/ 10 sessions.
quality of life about cervical pain	SF-36 will be used to assess this outcome measure.	Change from Baseline quality of life about cervical pain after 4 weeks/ 10 sessions.
Global perceived effect	Global perceived effect scale will be used to assess this outcome measure/ 10 sessions.	Change from Baseline Global perceived effect after 4 weeks/ 10 sessions.

Collaborators and Investigators

• Sponsor: Hacettepe University
• Investigators: Study Director: Oge, Hacettepe University

Study record dates

Study Major Dates

• Study Start (Actual): May 10, 2023
• Primary Completion (Actual): June 1, 2023
• Study Completion (Actual): September 15, 2023

Study Registration Dates

• First Submitted: March 8, 2023
• First Submitted That Met QC Criteria: April 13, 2023
• First Posted (Actual): April 25, 2023

Study Record Updates

• Last Update Posted (Actual): March 29, 2024
• Last Update Submitted That Met QC Criteria: March 27, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: VRMOB

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No